Gender and sexual minorities (GSM) experience considerably worse health outcomes than heterosexual and cisgender people, yet no comprehensive understanding of GSM health exists due to a dearth of research. GSM leaders in Dallas expressed need for a community needs assessment of GSM health. In response to this call, the Center for Psychosocial Health Research conducted a needs assessment of gender and sexual minority health in Dallas (35 interviews, 6 focus groups). Competency was one area highlighted and shared across existing research. Thus, the current study explored how competency impacts gender and sexual minorities' experience of health care in Dallas. We utilized a consensual qualitative research approach to analyze competency-related contents. The meaning and implications of emerging core ideas were explored. These findings were also used to develop a survey instrument.

Guided by attachment theory and principles of positive psychology, a conceptual model was developed depicting the direct and indirect effects of attachment insecurity, state hope, belongingness, and meaning in life on wellness indicators (i.e., life satisfaction, physical health, and depression) of first generation Latino immigrants in the U.S. Specifically, the present study proposed that the effects of attachment insecurity on Latino immigrants' wellness would be mediated by two tiers of factors. The first tier consisted of state hope (i.e., general state hope, spiritual state hope, mastery state hope) and sense of belonging (i.e., general belongingness; connectedness with mainstream/ethnic community), which represented individual-level and relational factors, respectively, salient in Latino culture. Greater attachment insecurity was hypothesized to contribute to a compromised MIL and poorer wellness by decreasing state hope and sense of belongingness. A total of 352 first-generation Latino immigrants from Texas participated in this study. The exploratory factor analysis on the Experiences in Close Relationships Scale revealed a two-factor factor structure that is different from the two factors of adult attachment typically found with American samples (i.e., anxiety and avoidance). The emerged two factors represent anxious-distancing attachment and comfort-seeking attachment. Results from structural equation modeling analysis showed adequate model fit …

This study examined racial/ethnic differences in pre-clinical disease, social support, and tested whether social support was a moderator of racial/ethnic differences in subclinical atherosclerosis. Participants were NHWs, NHBs, and Latinos (n = 283) from the baseline and cross-sectional sample of the North Texas Heart Study. Results from unadjusted models showed no significant racial/ethnic differences for common or bifurcation intima-media thickness (cIMT). However, unadjusted models for cIMT showed a main effect for race/ethnicity F(2, 229) = 3.12, p = .046, partial η2 = .027, with Latinos demonstrating significantly greater internal cIMT compared to NHB but not NHWs. In minimally adjusted models, there was a main effect for race/ethnicity, F(2, 227) = 3.10, p = .047, partial η2 = .027, with significantly greater internal cIMT in Latinos compared to NHBs but not NHWs. In fully adjusted models, racial/ethnic differences in cIMT were attenuated. Contrary to study hypotheses, no racial/ethnic differences in social support were found and social support was not a moderator of racial/ethnic differences in subclinical disease. In the North Texas Heart Study, few racial/ethnic differences emerged, with fully adjusted risk factor models accounting for these differences.

To date, traditional behavioral interventions have done little to reduce the prevalence and transmission of HIV among African American men who have sex with men (AAMSM), a highly at risk group. Some researchers theorize that the lack of success may be because these interventions do not address contextual factors among AAMSM. Community-based participatory research (CBPR) is one approach to research with the potential to lead to effective interventions in the future. CBPR is a collaborative, mixed-methods and multidisciplinary, approach to scientific inquiry, which is conducted with, and within, the community. The current study follows the CBPR approach to engage and develop a relationship with the African American communities in the Dallas/Fort Worth Metroplex. Contextual issues were discussed in order to identify emerging themes regarding HIV health related issues among AAMSM to provide the groundwork for continued CBPR research and future interventions with AAMSM in the Dallas/Fort Worth Metroplex. To accomplish this goal, researchers began the CBPR process by conducting interviews and focus groups with a sample of approximately 62 (34 from key informant interviews, 28 from focus groups [gender balanced]) AIDS service organization leaders and workers, advocates, medical doctors and community members with first-hand knowledge of HIV health issues in …

Since 2008, the United States (USA) has resettled thousands of Bhutanese refugees, providing brief financial support and pathways to citizenship. Despite the efforts of governing bodies and voluntary agencies which facilitate resettlement, many refugees struggle with adapting to the vastly different lifestyle, economy, language and social structures. In particular, effectively addressing psychological needs of this population is a challenge for service providers operating within an expensive health care system based on Western constructs of mental health. In response to this challenge, refugee resettlement agencies throughout the country use community gardens to promote psychological healing, self-sufficiency, community engagement, and a return of human dignity. Though success of these programs is being shared in the media, there has yet to be empirical data examining their impact. The current study tested whether Bhutanese refugee engagement in a community garden impacts symptoms of depression, anxiety, PTSD and somatic complaints. The study also investigated whether community gardening is associated with perceptions of social support and adjustment to life in the United States. Quantitative and qualitative data was collected from 50 adult Bhutanese refugees in Fort Worth, Texas. Gardening was significantly related to increased social support overall, a key factor in overall functionality within communal cultures; …

Utilizing a sample of community-residing older adults, this pretest-posttest design evaluated the short term (approximately 1 week) impact on everyday functioning of Stress Inoculation (SI) training, a cognitive-behavioral intervention that is essentially a coping skills enhancement program. The targets of training were anxiety and concern about being able to successfully perform everyday living tasks. The training program was contrasted with a no contact (waiting list) control. In an effort to maximize the practical aspects of this study, the assessment battery included the use of two ecologically valid measures of everyday problem solving skills (one self-rated and one interviewer-rated). Also included were a measure of everyday intelligence widely used in gerontological research, two measures of self-efficacy, a geriatric depression scale, a state-trait anxiety scale, and a self-report measure of failures in perception, memory, and motor function. The results suggest that Stress Inoculation training is an effective intervention for improving everyday competence but that personal perceptions of self-efficacy and the emotional states of anxiety and depression mediate treatment effects. In general, only persons with lower levels of self-efficacy and higher levels of anxiety and/or depression saw improvement in their cognitive performance following SI training.

The purpose of this study was to explore how supportive functions of parent-child relationships influence young adult dating motivations and involvement. Theoretical literature suggests that emotionally supportive homes provide a secure base for children to depend on as they explore themselves and other relationships. However, problematic family ties could be expected to inhibit relationship involvement due to negative past experiences or to encourage involvement as a search for intimacy. A sample of 206 single, female undergraduates completed questionnaires assessing relationships with parents and aspects of romantic involvement and development. The set of Parent-Child Relationship variables included Support, Conflict, Depth, and Affective Quality in relationships with mother and father. The Attachment Related Dating Motivation variables included measures of Anxiety, Dependency, and Closeness in relationships, Attachment Motivation, Sexual Expression, Dating Exploration, Behavioral Indicators of Romantic Involvement, Sexual Involvement, and Level, Satisfaction, and Importance of Romantic Involvement.

The question addressed in this study is whether either parent's conflict style affected the supportive quality of the parents' relationship with the son or daughter. It was important to explore variables that affect support because supportive relationships with parents have been related to adolescent adjustment. Past studies have suggested parental conflict has a negative impact on the parent-adolescent relationship. Research in the area of mediators of perceived support in the parent-adolescent relationships is limited. This study focused on perceived support in the specific relationship of the parent and adolescent. Qualitative measures of conflict were used since they have been more strongly related to changes in parent-adolescent relationships than quantitative measures. In this study the supportive quality of the parent-adolescent relationship was operationalized as a measure of parental support, depth of the parent-adolescent relationship, and conflict in the parent-adolescent relationship (Quality of Relationship Inventory).

Little research has addressed the degree to which domestic violence is mutual and whether patterns are stable across women's relationships. Studies that exist have conflicting results. This study addressed these issues and the effects of sustaining past violence on women's expressions of violence in their current relationship. Archival data from a sample of severely psychologically abused community women (N = 92) and a sample of low-income community women (N = 836) were analyzed. Results showed the presence of mutual violence in women's current relationships which was not related to past partners' violence. Results regarding the stability of violence are weak, but indicate that the frequency and severity of violence across relationships sustained by women does not decrease across relationships. Overall, results supported the hypothesis that violence is mutual in the relationships of community women, although specific patterns may differ by ethnicity.

The purpose of the current study was to examine Dutton's (1992) model of moderating and mediating variables which may impact the relationship of violence from an intimate partner with the development of posttraumatic stress disorder (PTSD) symptoms. This model was tested within three ethnic groups (African American, n = 303, Euro-American, n = 271, and Mexican American, n = 260), of low income, community women in serious, long-term relationships. The importance of the differences and similarities observed are discussed within a framework of the PTSD as well as domestic violence literature.

Ninety-nine African-American undergraduates, at a historically Black college, completed the African American Acculturation Scale to compare fraternity/sorority members with independents' participation in Black cultural traditions versus dominant White society. Greek members were hypothesized to be more traditional, because these organizations represent ethnic enclaves, have duplicate institutions, and communicate ethnic socialization; findings did not support this, but reasons for joining did. They were more superstitious in their beliefs than nonmembers, likely related to pledgeship and initiation rituals. Validity data on the new measure were provided. Why participants join fraternities, why they like/dislike them, and what purposes they serve was also examined.

Parents of children with Attention Deficit Hyperactivity Disorder (ADHD) are often reported as experiencing more stress than parents of normal children. The bulk of this research has been conducted primarily on a Caucasian population, however, providing little information regarding multicultural aspects of parenting stress. Research has also been lacking in attention given to the stress related to parenting a child with internalizing disorders. The purpose of this study was 1) to compare parenting stress reported by mothers of children with ADHD to parenting stress reported by mothers of children with depressive disorders, and 2) to compare parenting stress as reported by Caucasian, African American, and Hispanic mothers. Results indicated that mothers of ADHD children experienced more parenting stress related only to their children's hyperactive and distracting behaviors. Contrary to previous research, Caucasian mothers reported significantly more overall and parent-related parenting stress than African American mothers.

The purpose of this study was to explore the effects of parental divorce and family conflict during adolescence on young adult females' social support and psychological adjustment. The three areas explored were perceptions of relationship satisfaction and closeness, sources and amount of social support and adjustment. One hundred and forty-one female undergraduates, 53% from families in which their parents are still married and 47% from families in which a parental divorce occurred during adolescence, completed the following measures: the Dyadic Adjustment Scale (Spanier, 1976), the Social Provisions Scale-Source Specific (Cutrona, 1989), the Inventory of Common Problems (Hoffman & Weiss, 1986), the Family Environment Scale (Moos & Moos, 1981), and the Sibling Relationship Questionnaire (Furman & Buhrmester, 1985).

The Minnesota Multiphasic Personality Inventory (MMPI) was one of the most widely used psychological tests administered to adolescents. The MMPI-A is a revised version of the MMPI that was developed specifically for adolescents. The purpose of this study is to establish clinical correlates for the MMPI-A standard scale codetypes.

The purpose of this study was to examine the cognitive and emotional functioning of neglected, physically abused, and clinical control children between six and thirteen years of age who were referred for testing at the Dallas Child Guidance Clinic.

The Personality Inventory for Youth (PIY) is a recently developed, multiscale assessment instrument designed specifically for adolescents between the ages of nine and 18. The purpose of this archival study was to establish clinical correlates for the PIY scales. PIY profiles were collected from 100 juvenile files at the Gainesville State School and examined in conjunction with the Child Assessment Scale (CAS) and the Personal Attitude Scale (PAS) to provide evidence of convergent and discriminant validity. Results indicate modest to moderate convergent validity according to Campbell and Fiske's criteria for construct validity; however, discriminant results indicate considerable overlap among traits which are not expected to be highly correlated.

One hundred twenty-two undergraduate students at the University of North Texas were administered several different optimism scales and also measures of similar constructs such as hope. Results indicated that most measures of optimism show only low to moderate intercorrelations with other measures of the same construct. Additionally, factor analysis confirmed that the measures of optimism actually appear to be assessing multiple factors and not necessarily optimism alone. Implications of the present study include the necessity of individual researchers to be familiar with the specific measure of optimism used in a given study as scores on differing measures of optimism may actually be providing very different information.

The purpose of the present investigation was to explore the relationship of the adolescent experience of parental death to the variables of identity formation, adjustment, and coping. The inclusion of adolescents who had experienced parental divorce and those who had not experienced either loss condition allowed for group comparisons.

The purpose of this study was to compare pre- and post-treatment differences in posttraumatic stress disorder (PTSD) symptoms in male adolescents with conduct disorder. The Children's PTSD Inventory and the PTSD Reaction Index were used to diagnose PTSD and determine trauma type (Type I single trauma or Type II recurring trauma). Pre- and post-treatment measures included the PTSD Reaction Index, the Children's Depression Inventory, the State-Trait Anxiety Inventory, the State-Trait Anger Expression Inventory, the Dissociative Experiences Scale, and the Youth Self-Report. The six-week, biweekly group treatment included education, exposure, and cognitive elements. Primary hypotheses that the abused group would statistically differ from the non-abused group in terms of pre- and post-treatment levels of avoidance, dissociation, anger/aggression, self-destructiveness, social problems, and overall levels of PTSD symptoms, were not confirmed. Overall, group therapy participants experienced statistically significant decreases in PTSD symptoms over the course of therapy. Results are discussed in light of clinical implications, recommended cautions given the lack of a robust control group, and directions for future research.

Upper limb deficiencies in children may be the result of trauma, disease, or congenital problems. Although biomechanical losses are the primary problem associated with a limb deficiency, the loss of such an obvious body part has cosmetic and psychosocial implications as well. Fitting a child with a prosthesis typically is the treatment chosen by families. Presently, there are three types of prostheses available for pediatric amputees, including passive, cable-operated, and myoelectric arms, but the myoelectric appears to be the most popular choice of children and their families. However, there is growing concern among clinicians that, despite its advanced technological capabilities, the myoelectric prosthesis is chosen for aesthetic rather than functional reasons. It is difficult, then, to justify the expense of fitting a myoelectric prosthesis when a more inexpensive prosthesis, or none at all, would be a more appropriate prescription. The question of when to prescribe a myoelectric prosthesis for a pediatric patient remains one of the most controversial questions in the field of prosthetics today due to this cost/benefit issue. In this study, the researcher examined psychological factors that may influence whether or not a child will wear a prosthesis and how that prosthesis will be used. Thirty prosthetics patients …

The objective of the present study was to evaluate the relationship between a set of cofactors and severity of cognitive impairment, to determine if there were any factors which significantly predicted more severe neurocognitive deficits in persons with AIDS. Twenty-four male volunteers recruited from community groups and physician referrals participated. Subjects completed several self-report questionnaires eliciting information regarding demographics and risk factor variables, in addition to a comprehensive battery of neuropsychological tests. A severity of cognitive impairment summary score was computed for each subject, reflecting both the number of impaired tests and their distance in the impaired direction from normative data. Neither CD4 count, number of months since diagnosis of AIDS, number of AIDS-related illnesses, number of recent stressors, history of head injury/LOC, history of substance use, current or past psychiatric disorder, history of learning disability nor history of other medical illness were found to be significantly related to severity of cognitive impairment in this sample, after controlling for the effects of age, level of education, estimated premorbid IQ and mood status. However, no reliable conclusions could be drawn from this study because the small sample size resulted in an unacceptably low level of statistical power for the desired regression …

The purpose of this study was to examine and compare individuals that had survived a single incidence trauma, the Luby's massacre in Killeen, Texas. Participants answered questions regarding various facets of social support following the trauma, and were also screened for a diagnosis of PTSD. Participants' level of symptoms, specifically depression, anxiety, and phobic anxiety was measured over time with the SCL-90-R. The results of this study indicate that, while women initially experience a higher level of depression and phobic anxiety, there is no gender difference in rate of symptom change over time. This study also found that women were significantly higher than men on desirability, utilization and usefulness of social support. Of the target symptoms, however, only depression correlated with any facet of social support, specifically, desirability. Finally, this study questioned whether individuals would share more similarities with others based on gender or diagnosis. It is suggested by the current data that diagnosis is the better indicator of similarity.

The current study investigated the criterion validity of the Minnesota Multiphasic Personality Inventory - 2 (MMPI-2) by comparing participants' profiles with other variables, including diagnosis, length of hospitalization, and chronicity. The specific diagnostic groups investigated were depressed (major depressive disorder; dysthymic disorder; and bipolar disorder, depressed), schizophrenic (schizophrenia, schizophreniform disorder, and schizoaffective disorder), and borderline personality disorder (BPD). Statistical analyses included use of univariate analyses of variance (ANOVAs), multivariate analyses of variance (MANOVAs), regression analyses, and measures of sensitivity, specificity, positive predictive power (PPP), and negative predictive power (NPP). MANOVA results indicated significant differences between diagnostic groups on Scales F, 2, 3, 4, 7, ANX. FRS. DEP. BIZ. M f i , LSE, and FAM. There were considerable differences between males and females when separate MANOVAs were performed for gender groups. Cutoff see ires for classification by diagnosis resulted in significant specificity rates and negative predictive power, but sensitivity rates and positive predictive power were not significant.

The influence of theoretically prominent family processes on late adolescent college student identity development was the focus of this study. The primary purpose was to test a model of adolescent identity development. This model proposed that family health variables would predict identity development, and that attachment and separation-individuation would each make unique and additive contributions to identity development. The second purpose was to identify instruments which discretely measured the family processes. The third purpose was to better understand family influences by measuring the processes of exploration and commitment. Participants were 150 male and 150 female college students, between the ages of 18 and 23, and from intact families. Questionnaires completed measured family functioning and identity development. Family functioning measures covered three domains (family health, attachment to parents, and separation-individuation) which formed the set of independent variables. The identity measures (ego identity status and identity process) comprised the dependent variables. A hierarchical regression design was employed where family health variables were entered first, followed by attachment variables, then separation-individuation variables. The results indicated mixed support of the model. First, the proposed model was statistically supported for females as all domains predicted identity achievement and diffusion. For males, only family health predicted …